KENNEDY JEAN WESENBERG LMT
NPI 1467210765
Massage Therapist in Graham, WA

NPI Status: Active since March 11, 2024

Contact Information

21707 103RD AVENUE CT E STE B201
GRAHAM, WA
ZIP 98338
Phone: (253) 847-7517
Fax: (253) 847-7467

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  • Individual
  • Female
  • Massage Therapist

About KENNEDY WESENBERG

This page provides the complete NPI Profile along with additional information for Kennedy Wesenberg, a provider established in Graham, Washington with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1467210765 assigned on March 2024. The practitioner's primary taxonomy code is 225700000X with license number MA61512646 (WA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1467210765
Provider Name
KENNEDY JEAN WESENBERG LMT
Other Name
KENNEDY JEAN HANSEN LMT
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
21707 103RD AVENUE CT E STE B201 GRAHAM, WA 98338
Location Phone
(253) 847-7517
Location Fax
(253) 847-7467
Mailing Address
4529 RIDGEWEST DR E LAKE TAPPS, WA 98391
Mailing Phone
(253) 691-6752
Is Sole Proprietor?
No
Enumeration Date
03-11-2024
Last Update Date
03-11-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
MA61512646
License State
WA
Taxonomy Description
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467210765
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24127410712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 4 + 1 + 0 + 7 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1467210765 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780053777 MICHAEL DAVID MCMULLIN LMP
Individual
Massage Therapist21707 103RD AVENUE CT E STE B201
GRAHAM, WA 98338
(406) 212-5080
1225894918MCMULLIN FAMILY CHIROPRACTIC, PLLC
Organization
Chiropractor21707 103RD AVENUE CT E STE B201
GRAHAM, WA 98338
(253) 847-7517
1801334156 TENNILLE BERNARD DC
Individual
Chiropractor21707 103RD AVENUE CT E STE B201
GRAHAM, WA 98338
(253) 847-7517

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467210765, enumerated in the NPI registry as an "individual" on March 11, 2024

The provider is located at 21707 103rd Avenue Ct E Ste B201 Graham, Wa 98338 and the phone number is (253) 847-7517

The provider's speciality is Massage Therapist with taxonomy code 225700000X

This NPI record was last updated on March 11, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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